In January a 4-Month-Old Girl Is Seen by Her Family

In January a 4-month-old girl is seen by her family physician. Her mother noted that she has been coughing and has had a slight fever for 3 days and recently developed difficulty breathing that is characterized by wheezing. She has a runny nose composed of clear fluid with some cells present. X-rays show her lungs are clear of infection. Examination of the nasal discharge is likely to show what entity to confirm diagnosis?

A) Eosinophilic cytoplasmic inclusions in cells
B) Gram-positive cocci
C) Gram-negative coccobacilli
D) Multinucleated giant cells
E) Secretory IgA heterophile antibody